Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly C Fonville

Individual provider Counselor · NPI 1336765536

Kimberly C Fonville is a Counselor in Jackson, Mississippi. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

860 E River Pl Ste 100
Jackson, MS 39202-3442
Phone: (769) 251-5550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1336765536
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 23, 2020
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020

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